Birth Mothers' Lives after Unintended Adolescent Pregnancy and Open Infant Adoption Placement

Monday, November 2, 2009: 2:20 PM

Lynn B. Clutter, PhD, RN, BC, CNS, CNE
School of Nursing, Langston University, Tulsa, OK

Learning Objective 1: state what a birth mother is and describe three challenges at the point of pregnancy, birth, and after infant placement

Learning Objective 2: explain what the adoption triad is and describe ten benefits of open infant adoption

Open adoption is when a birth mother has contact with the adoptive family and birth child but does not parent that child.  This is an option that has positive quality of life outcomes for birth mothers, adoptive families, and infants of adoption.  Little is known about these birth mothers after the time of open infant placement, and especially about their own lives. 

This qualitative study used naturalistic inquiry methodology with birth mothers who had made open infant adoption placements one to five years prior to spring, 2009.  The research question was, “What are birth mothers’ experiences of unintended pregnancy and open infant adoption placement, and how have these experiences shaped their lives following adoption?”  The participants had been members of one support group in a Midwestern State at the point of birth but were living anywhere in the U. S at the point of interview.  In-depth telephone interviews were de-identified and transcribed.  Data analysis included identification of meaning units and theme categories.  A case study reporting mode rendered rich description of birth mothers views and experiences.

The impact of a study of this nature is that the voice of birth mothers’ perspectives is shared with nurses who interface with these women.  Beginning awareness of this rarely isolated and described group is valuable because unintended pregnancy and open adoption placement affect the women’s own health care and future quality of life.  Experiences at this point can have long range impact that affects many in their home, family, and community environments.           

This presentation includes descriptions of challenges to teens at the point of pregnancy, birth, and after open infant placement.  Open and closed adoption are differentiated.  The adoption triad is explained and benefits of open adoption to each party of the triad are described.